Provider Demographics
NPI:1942092945
Name:BOWERS, LUCY CHARLOTTE
Entity type:Individual
Prefix:MISS
First Name:LUCY
Middle Name:CHARLOTTE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 TRACERY OAKS DR APT 7304
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-8322
Mailing Address - Country:US
Mailing Address - Phone:574-339-9243
Mailing Address - Fax:
Practice Address - Street 1:2200 TRACERY OAKS DR APT 7304
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-8322
Practice Address - Country:US
Practice Address - Phone:574-339-9243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant